%0 Journal Article %T The changing shape of hand trauma: an analysis of Hospital Episode Statistics in England %A Dominic Furniss %A Justin C.R. Wormald %A Oliver W.G. Manley %J Journal of Hand Surgery (European Volume) %@ 2043-6289 %D 2019 %R 10.1177/1753193419828986 %X Hospital Episode Statistics (HES) include freely accessible records of all hospital episodes in England. We analysed HES from 1998¨C1999 to 2014¨C2015 for diagnoses of hand fractures, tendon injuries, nerve injuries, blood vessel injuries, traumatic amputations and nail bed injuries. Population data were used to calculate the incidence. The overall incidence of the injuries increased from 70 to 110 per 100,000. There were especially large increases in the incidence of fractures in the over 75 years age group and nail bed injuries in the 0¨C14 years age group. The incidence of nerve injuries also increased. We conclude from this study that HES is a useful tool. The information from HES may help plan service provision and also highlight important clinical problems that may benefit from further research %K Hand %K hand injuries %K fractures %K bone %K replantation %K tendon injuries %U https://journals.sagepub.com/doi/full/10.1177/1753193419828986